NPI | 1568723112 |
---|---|
Former Name | CHINA DONTA ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: GA LPC003517) |
Enumeration Date | 2012-05-30 |
Last Update Date | 2023-01-27 |